解决炎症性肠病的营养知识差距:一个范围审查
Eleonora Ribaudi1, Simone Amato2, Guia Becherucci1
1IBD Unit, UOC CEMAD Centro Malattie Dell'apparato Digerente, Dipartimento di Scienze Mediche e Chirurgiche Addominali ed Endocrino Metaboliche, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy.
Nutrients
|March 13, 2025
概括
患有炎症性肠病 (IBD) 的人往往缺乏营养知识,导致不良饮食选择和营养不良. 基于证据的教育对于改善症状管理和生活质量至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 营养科学 营养科学
- 公共卫生 公共卫生
背景情况:
- 炎症性肠道疾病 (IBD) 是慢性胃肠道疾病,营养对于症状管理至关重要.
- 患者营养知识有限和普遍的误解可能会对IBD的健康结果产生负面影响.
- 现有文献强调IBD患者对饮食习惯的理解存在重大差距.
研究的目的:
- 绘制有关IBD患者营养知识的现有文献.
- 识别IBD饮食方面的知识缺口和误解.
- 引导未来基于证据的IBD营养教育干预措施.
主要方法:
- 根据阿克西和奥马利框架和PRISMA 2020指南进行范围审查.
- 在PubMed,科学网络和SCOPUS (2003-2024) 中进行系统的文献搜索.
- 包括对IBD成年人 (≥18岁) 的研究,重点关注营养知识.
主要成果:
- 23项研究符合来自1440个记录的纳入标准.
- IBD患者经常依赖个人信仰,而不是基于证据的饮食指南.
- 常见的误解包括不必要地避免乳制品,质和纤维;导致食物避免和营养不良风险.
- 教育干预措施显示出希望,但应用不一致.
结论:
- 在IBD患者中存在显著的营养知识缺陷.
- 结构化,个性化和多学科的教育计划是必不可少的.
- 将饮食教育纳入标准IBD护理可以改善症状控制和生活质量.
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